Evidence map›Paper›PMID 41770185›Full record

ArticleJACC. Case reports2026

Pulmonary Carcinoid and Left-Sided Heart Disease: When Carcinoid Goes Left.

Alessandro Giaj Levra, Sara Facetti, Corinna Inserra

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alessandro Giaj LevraDepartment of Biomedical Sciences, Humanitas University, Milan, Italy; Department of Cardiovascular Medicine, IRCCS Humanitas Research Hospital, Milan, Italy. Electronic address: alessandro.giajlevra@humanitas.it.
Sara FacettiCardiology Department, Legnano Hospital, Legnano, Italy.
Corinna InserraCardiology Department, Legnano Hospital, Legnano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarcinoid heart disease (CHD) is a rare cause of valvular dysfunction due to exposure to vasoactive substances secreted by neuroendocrine tumors. Left-sided involvement of the mitral and aortic valves is uncommon. CASE SUMMARY: A 53-year-old woman presented with progressive dyspnea and severe mitral regurgitation with moderate stenosis and moderate aortic regurgitation. N-terminal pro-B-type natriuretic peptide level was elevated, while other biomarkers of carcinoid activity were negative. Echocardiography demonstrated characteristic valvular thickening and restricted leaflet motion. The patient had a known well-differentiated pulmonary carcinoid without metastatic disease. After multidisciplinary discussion, bioprosthetic mitral and aortic valve replacement was performed, with histological confirmation of CHD. Subsequent pulmonary lobectomy was uneventful. DISCUSSION: Diagnosis of left-sided CHD can be challenging given the limited sensitivity of traditional biomarkers. TAKE-HOME MESSAGES: Left-sided CHD is rare but may occur in the setting of pulmonary carcinoid. Biomarkers in CHD may be negative, further complicating diagnosis.

Indexed as

carcinoid heart diseasecardiac surgerymitral regurgitationmitral stenosisvalvular heart disease

Identifiers

PMID41770185
PMCPMC13080586

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.